Evidence map›Paper›PMID 36418785›Full record

Observational studyThe European journal of health economics : HEPAC : health economics in prevention and care2023

Excess costs of multiple sclerosis: a register-based study in Sweden.

Chantelle Murley, Petter Tinghög, Fitsum Sebsibe Teni, Alejandra Machado, Kristina Alexanderson, Jan Hillert, Korinna Karampampa, Emilie Friberg

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The European journal of health economics : HEPAC : health economics in prevention and care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Predictors of Ability to Work in Multiple Sclerosis.CPT: pharmacometrics & systems pharmacology · 2025
    Article
  5. Review
  6. Family planning and multiple sclerosis - Part 1: Patient perspectives on treatment choices in Sweden.Multiple sclerosis journal - experimental, translational and clinical
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Chantelle MurleyDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden. chantelle.murley@ki.se.ORCID http://orcid.org/0000-0003-4150-4275
Petter TinghögDepartment of Health Sciences, Swedish Red Cross University, 141 21, Huddinge, Sweden.ORCID http://orcid.org/0000-0001-6138-6427
Fitsum Sebsibe TeniDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-6182-499X
Alejandra MachadoDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-8957-661X
Kristina AlexandersonDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-9313-3413
Jan HillertDivision of Neurology, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-7386-6732
Korinna KarampampaDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-2578-1865
Emilie FribergDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-7874-4243
Karolinska Institutet · SERöda Korsets Högskola · SE

Funding

Vetenskapsrådet 2017-00624
6 · The paper itself

Abstract

BACKGROUND AND

objectivePopulation-based estimates of the socioeconomic burden of multiple sclerosis (MS) are limited, especially regarding primary healthcare. This study aimed to estimate the excess costs of people with MS that could be attributed to their MS, including primary healthcare.

methodsAn observational study was conducted of the 2806 working-aged people with MS in Stockholm, Sweden and 28,060 propensity score matched references without MS. Register-based resource use was quantified for 2018. Annual healthcare costs (primary, specialised outpatient, and inpatient healthcare visits along with prescribed drugs) and productivity losses (operationalised by sickness absence and disability pension days) were quantified using bottom-up costing. The costs of people with MS were compared with those of the references using independent t-tests with bootstrapped 95% confidence intervals (CIs) to isolate the excess costs of MS from the mean difference.

resultsThe mean annual excess costs of MS for healthcare were €7381 (95% CI 6991-7816) per person with MS with disease-modifying therapies as the largest component (€4262, 95% CI 4026-4497). There was a mean annual excess cost for primary healthcare of €695 (95% CI 585-832) per person with MS, comprising 9.4% of the excess healthcare costs of MS. The mean annual excess costs of MS for productivity losses were €13,173 (95% CI 12,325-14,019) per person with MS, predominately from disability pension (79.3%).

conclusionsThe socioeconomic burden of MS in Sweden from healthcare consumption and productivity losses was quantified, updating knowledge on the cost structure of the substantial excess costs of MS.

Indexed as

Multiple SclerosisAgedCost of IllnessEfficiencyHealth Care CostsHumansPensionsSwedenCost of illnessDisability pensionHealthcare costsMedical/health economicsMultiple sclerosisPrimary healthcareProductivity lossesPropensity score matchingReal world dataSick leave

Identifiers

PMID36418785
PMCPMC9685028
OpenAlexW4309865511

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.